LEE M DEDORE - Physician Assistant License in Illinois | # 085003692

LEE M DEDORE

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003692

License Status

ACTIVE

Business

N

First Name

LEE

Middle

M

Last Name

DEDORE

Business Name

LEE M DEDORE

Original Issue Date

02/09/2010

Effective Date

12/17/2025

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

12/17/2025